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au:CARDOSO-LEITE, E.

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Travestis, transgender women and young MSM are at high risk for PrEP early loss to follow-up in Rio de Janeiro, Brazil
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Echeverría-Guevara, Amanda

; Coelho, Lara E.

; Veloso, Valdiléa G.

; Pimenta, Maria C.

; Hoagland, Brenda

; Moreira, Ronaldo I.

; Leite, Iuri

; Jalil, Emília M.

; Cardoso, Sandra W.

; Torres, Thiago S.

; Grinsztejn, Beatriz

Brazilian Journal of Infectious Diseases

Journal Metrics
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- SciELO Analytics

2023, Volume 27 N. 1 elocation 102733

Abstract: En | Text: En | PDF: En

Abstract Introduction Oral pre-exposure prophylaxis (PrEP) with emtricitabine/tenofovir (FTC/TDF) is highly effective in preventing HIV infection. This study aimed to identify factors associated with PrEP early loss to follow-up (ELFU) among gay, bisexual and other men who have sex with men (MSM), travestis and transgender women (TGW). Methodology This was a prospective cohort study evaluating TGW and MSM who initiated PrEP at the Evandro Chagas National Institute of Infectious Diseases (INI-Fiocruz) from 2014 to 2020. ELFU was defined as not returning for a PrEP visit within 180 days after first dispensation. Exposure variables included age, gender, race, education, transactional sex, condomless anal intercourse [CAI] (both in the past six months), binge drinking and substance use (both in past three months) and syphilis diagnosis at baseline. Multilevel logistic regression models with random intercepts and fixed slopes were used to identify factors associated with ELFU accounting for clustering of participants according to their PrEP initiation study/context (PrEP Brasil, PrEParadas, ImPrEP and PrEP SUS). Results Among 1,463 participants, the median age was 29 years (interquartile range 24-36), 83% self-identified as MSM, 17% as TGW, 24% were black, 37% mixed-black/pardo and 30% had < 12 years of education. Fifteen percent reported transactional sex, 59% reported CAI, 67% binge drinking, 33% substance use, and 15% had a syphilis diagnosis. Overall, 137 participants (9.7%) had ELFU. Younger age (18-24 years) (adjusted odds ratio [aOR] 1.9, 95%CI:1.2-3.2), TGW (aOR 2.8, 95%CI:1.6-4.8) and education < 12 years (aOR 1.9, 95%CI:1.2-2.9) were associated with greater odds of ELFU. Conclusion TGW, young individuals and those with lower education were at higher risk of PrEP ELFU. Our results suggest that the development of specific strategies targeting these populations should be a priority, through policies that aim to reduce the incidence of HIV infection.

https://doi.org/10.1016/j.bjid.2022.102733

BRAZILIAN GASTRIC CANCER ASSOCIATION GUIDELINES (PART 2): UPDATE ON TREATMENT
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BARCHI, Leandro Cardoso

; RAMOS, Marcus Fernando Kodama Pertille

; DIAS, André Roncon

; FORONES, Nora Manoukian

; CARVALHO, Marineide Prudêncio de

; CASTRO, Osvaldo Antonio Prado

; KASSAB, Paulo

; COSTA-JÚNIOR, Wilson Luiz da

; WESTON, Antônio Carlos

; ZILBERSTEIN, Bruno

; Ferraz, Álvaro Antônio Bandeira

; ZeideCharruf, Amir

; Brandalise, André

; Silva, André Maciel da

; Alves, Barlon

; Marins, Carlos Augusto Martinez

; Malheiros, Carlos Alberto

; Leite, Celso Vieira

; Bresciani, Claudio José Caldas

; Szor, Daniel

; Mucerino, Donato Roberto

; Wohnrath, Durval R.

; JirjossIlias, Elias

; Martins Filho, Euclides Dias

; PinatelLopasso, Fabio

; Coimbra, Felipe José Fernandez

; Felippe, Fernando E. Cruz

; Tomasisch, Flávio Daniel Saavedra

; Takeda, Flavio Roberto

; Ishak, Geraldo

; Laporte, Gustavo Andreazza

; Silva, Herbeth José Toledo

; Cecconello, Ivan

; Rodrigues, Joaquim José Gama

; Grande, José Carlos Del

; Lourenço, Laércio Gomes

; Motta, Leonardo Milhomem da

; Ferraz, Leonardo Rocha

; Moreira, Luis Fernando

; Lopes, Luis Roberto

; Toneto, Marcelo Garcia

; Mester, Marcelo

; Rodrigues, Marco Antônio Gonçalves

; Franciss, Maurice Youssef

; AdamiAndreollo, Nelson

; Corletta, Oly Campos

; Yagi, Osmar Kenji

; Malafaia, Osvaldo

; Assumpção, Paulo Pimentel

; Savassi-Rocha, Paulo Roberto

; Colleoni Neto, Ramiro

; Oliveira, Rodrigo Jose de

; AissarSallun, Rubens Antonio

; Weschenfelder, Rui

; Oliveira, Saint Clair Vieira de

; Abreu, Thiago Boechat de

; Castria, Tiago Biachi de

; Ribeiro Junior, Ulysses

; Barra, Williams

; Freitas Júnior, Wilson Rodrigues de

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2021, Volume 34 N. 1 elocation e1563

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Racional: O II Consenso Brasileiro de Câncer Gástrico da Associação Brasileira de Câncer Gástrico ABCG (Parte 1) foi recentemente publicado. Nesta ocasião inúmeros especialistas que atuam no tratamento desta doença expressaram suas opiniões diante declarações apresentadas. Objetivo: Apresentar as Diretrizes da ABCG (Parte 2) quanto às indicações de tratamento cirúrgico, técnicas operatórias, extensão de ressecção e terapia combinada. Métodos: Para formulação destas diretrizes os autores realizaram extensa e atual revisão referente a cada declaração presente no II Consenso, utilizando as bases Medline/PubMed, Cochrane Library e SciELO, inicialmente com os seguintes descritores: câncer gástrico, gastrectomia, linfadenectomia, terapia combinada. Ainda, cada declaração foi classificada de acordo com o nível de evidência e grau de recomendação. Resultados: Das 43 declarações presentes neste estudo, 11 (25,6%) foram classificadas com nível de evidência A, 20 (46,5%) B e 12 (27,9%) C. Quanto ao grau de recomendação, 18 (41,9%) declarações obtiveram grau de recomendação 1, 14 (32,6%) 2a, 10 (23,3%) 2b e um (2,3%) 3. Conclusão: O complemento das diretrizes aqui presentes possibilita que cirurgiões e oncologistas que atuam no combate ao câncer gástrico possam oferecer o melhor tratamento possível, de acordo com as condições locais disponíveis.

ABSTRACT Background : The II Brazilian Consensus on Gastric Cancer of the Brazilian Gastric Cancer Association BGCA (Part 1) was recently published. On this occasion, countless specialists working in the treatment of this disease expressed their opinion in the face of the statements presented. Aim : To present the BGCA Guidelines (Part 2) regarding indications for surgical treatment, operative techniques, extension of resection and multimodal treatment. Methods: To formulate these guidelines, the authors carried out an extensive and current review regarding each declaration present in the II Consensus, using the Medline/PubMed, Cochrane Library and SciELO databases initially with the following descriptors: gastric cancer, gastrectomy, lymphadenectomy, multimodal treatment. In addition, each statement was classified according to the level of evidence and degree of recommendation. Results : Of the 43 statements present in this study, 11 (25,6%) were classified with level of evidence A, 20 (46,5%) B and 12 (27,9%) C. Regarding the degree of recommendation, 18 (41,9%) statements obtained grade of recommendation 1, 14 (32,6%) 2a, 10 (23,3%) 2b e one (2,3%) 3. Conclusion : The guidelines complement of the guidelines presented here allows surgeons and oncologists who work to combat gastric cancer to offer the best possible treatment, according to the local conditions available.

https://doi.org/10.1590/0102-672020210001e1563 768 downloads

Reconhecimento de emoções em rostos e comportamento ocular na ansiedade social: Um estudo sobre eye-tracking
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Ferreira, Ana B.

; Cardoso, Cátia E.

; Samões, Joana I.

; Leite, Ângela

PsychTech & Health Journal

Journal Metrics
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dec 2020, Volume 4 N. 1 Pages 10 - 31

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO O eye-tracking é um sistema de rastreamento ocular, através do qual é possível estudar o reconhecimento emocional de sujeitos diagnosticados com ansiedade social. Dada a importância das expressões faciais e o seu reconhecimento, o objectivo deste estudo foi o de investigar o reconhecimento de emoções em rostos bem como o comportamento ocular em sujeitos com ansiedade social, recorrendo à tecnologia eye-tracking, para compreender se indivíduos com elevada ansiedade social revelavam padrões atencionais diferentes dos sujeitos com baixa ou sem ansiedade social. Para o efeito, realizou-se uma revisão sistemática, da qual resultaram 20 artigos. No que diz respeito aos principais resultados encontrados, verificou-se que os padrões oculares concentram-se sobretudo na região ocular quando os participantes estão na presença de emoções consideradas negativas, enquanto que perante emoções positivas se observam padrões oculares direccionados para a região da boca. Relativamente aos processos atencionais na ansiedade social, aquilo que é comummente observado na literatura é um efeito de hipervigilância inicial e evitamento posterior, especialmente no caso de expressões faciais negativas como a raiva. Contudo, a presente revisão evidenciou discordância entre os investigadores. Conclui-se que, em geral, os sistemas eye-tracking apresentam-se vantajosos ao nível do rastreamento ocular, com aplicabilidade em populações subclínicas e clínicas, como a ansiedade social.

ABSTRACT Eye-tracking is a system that can be used when studying the emotional recognition of subjects diagnosed with social anxiety. This study aimed to review the literature about recognizing emotions in faces using eye-tracking technology and eye behavior in individulas diagnosed with social anxiety. The question was: Do individuals with high anxiety levels reveal different attentional patterns than those with low or no social anxiety. For this purpose, a systematic review was carried out, resulting in 20 articles. Concerning the main results, it was found that ocular patterns are concentrated mainly in the ocular region when participants are in the presence of emotions considered harmful. Positive emotions were observed, eye patterns directed towards the mouth region. Concerning the attentional processes in social anxiety the literature suggests an effect of initial hypervigilance and later avoidance, especially in the case of negative facial expressions such as anger. However, the present review showed disagreement between the researchers. In conclusion, eye-tracking systems are advantageous when applied in subclinical and clinical populations, such as social anxiety.

https://doi.org/10.26580/pthj.art26-2020 58 downloads

BRAZILIAN GASTRIC CANCER ASSOCIATION GUIDELINES (PART 1): AN UPDATE ON DIAGNOSIS, STAGING, ENDOSCOPIC TREATMENT AND FOLLOW-UP
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BARCHI, Leandro Cardoso

; RAMOS, Marcus Fernando Kodama Pertille

; YAGI, Osmar Kenji

; MUCERINO, Donato Roberto

; BRESCIANI, Claudio José Caldas

; RIBEIRO JÚNIOR, Ulysses

; ANDREOLLO, Nelson Adami

; ASSUMPÇÃO, Paulo Pimentel

; WESTON, Antônio Carlos

; COLLEONI NETO, Ramiro

; ZILBERSTEIN, Bruno

; Ferraz, Álvaro Antônio Bandeira

; Charruf, Amir Zeide

; Dias, André Roncon

; Brandalise, André

; Silva, André Maciel da

; Alves, Barlon

; Malheiros, Carlos Alberto

; Marins, Carlos Augusto Martinez

; Leite, Celso Vieira

; Szor, Daniel

; Wohnrath, Durval R.

; Ilias, Elias Jirjoss

; Martins Filho, Euclides Dias

; Lopasso, Fabio Pinatel

; Coimbra, Felipe José Fernandez

; Felippe, Fernando E. Cruz

; Tomasisch, Flávio Daniel Saavedra

; Takeda, Flavio Roberto

; Ishak, Geraldo

; Laporte, Gustavo Andreazza

; Silva, Herbeth José Toledo

; Cecconello, Ivan

; Rodrigues, Joaquim José Gama

; Grande, José Carlos Del

; Lourenço, Laércio Gomes

; Motta, Leonardo Milhomem da

; Ferraz, Leonardo Rocha

; Moreira, Luis Fernando

; Lopes, Luis Roberto

; Toneto, Marcelo Garcia

; Mester, Marcelo

; Rodrigues, Marco Antônio Gonçalves

; Carvalho, Marineide Prudêncio de

; Franciss, Maurice Youssef

; Forones, Nora Manoukian

; Corletta, Oly Campos

; Castro, Osvaldo Antonio Prado

; Malafaia, Osvaldo

; Kassab, Paulo

; Savassi-Rocha, Paulo Roberto

; Oliveira, Rodrigo Jose de

; Sallun, Rubens Antonio Aissar

; Weschenfelder, Rui

; Oliveira, Saint Clair Vieira de

; Abreu, Thiago Boechat de

; Castria, Tiago Biachi de

; Barra, Williams

; Costa Júnior, Wilson Luiz da

; Freitas Júnior, Wilson Rodrigues de

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2020, Volume 33 N. 3 elocation e1535

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Racional: O II Consenso Brasileiro de Câncer Gástrico da Associação Brasileira de Câncer Gástrico (ABCG) foi recentemente publicado. Nesta ocasião, inúmeros especialistas que atuam no tratamento desta doença expressaram sua opinião diante declarações apresentadas. Objetivo: Apresentar as Diretrizes da ABCG (Parte 1) quanto ao diagnóstico, estadiamento, tratamento endoscópico e seguimento dos pacientes com câncer gástrico. Métodos: Para formulação destas Diretrizes os autores realizaram extensa e atual revisão referente a cada declaração presente no II Consenso, utilizando as bases Medline/PubMed, Cochrane Library e SciELO com os seguintes descritores: câncer gástrico, estadiamento, tratamento endoscópico e seguimento. Ainda, cada declaração foi classificada de acordo com o nível de evidência e grau de recomendação. Resultados: Das 24 declarações, duas (8,3%) foram classificadas com nível de evidência A, 11 (45,8%) B e 11 (45,8%) C. Quanto ao grau de recomendação, seis (25%) declarações obtiveram grau de recomendação 1, nove (37,5%) grau 2a, seis (25%) 2b e três (12,5%) 3. Conclusão: As diretrizes aqui presentes têm a finalidade de auxiliar os profissionais que atuam no combate ao câncer gástrico com informações relevantes e atuais, permitindo que sejam aplicadas na prática médica diária.

ABSTRACT Background: The II Brazilian Consensus on Gastric Cancer by the Brazilian Gastric Cancer Association (ABCG) was recently published. On this occasion, several experts in gastric cancer expressed their opinion before the statements presented. Aim: To present the ABCG Guidelines (part 1) regarding the diagnosis, staging, endoscopic treatment and follow-up of gastric cancer patients. Methods: To forge these Guidelines, the authors carried out an extensive and current review regarding each statement present in the II Consensus, using the Medline/PubMed, Cochrane Library and SciELO databases with the following descriptors: gastric cancer, staging, endoscopic treatment and follow-up. In addition, each statement was classified according to the level of evidence and degree of recommendation. Results: Of the 24 statements, two (8.3%) were classified with level of evidence A, 11 (45.8%) with B and 11 (45.8%) with C. As for the degree of recommendation, six (25%) statements obtained grade of recommendation 1, nine (37.5%) recommendation 2a, six (25%) 2b and three (12.5%) grade 3. Conclusion: The guidelines presented here are intended to assist professionals working in the fight against gastric cancer with relevant and current information, granting them to be applied in the daily medical practice.

https://doi.org/10.1590/0102-672020200003e1535 2100 downloads

II BRAZILIAN CONSENSUS ON GASTRIC CANCER BY THE BRAZILIAN GASTRIC CANCER ASSOCIATION
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BARCHI, Leandro Cardoso

; RAMOS, Marcus Fernando Kodama Pertille

; DIAS, André Roncon

; ANDREOLLO, Nelson Adami

; WESTON, Antônio Carlos

; LOURENÇO, Laércio Gomes

; MALHEIROS, Carlos Alberto

; KASSAB, Paulo

; ZILBERSTEIN, Bruno

; Ferraz, Álvaro Antônio Bandeira

; Charruf, Amir Zeide

; Brandalise, André

; Silva, André Maciel da

; Alves, Barlon

; Marins, Carlos Augusto Martinez

; Leite, Celso Vieira

; Bresciani, Claudio José Caldas

; Szor, Daniel

; Mucerino, Donato Roberto

; Wohnrath, Durval R.

; Ilias, Elias Jirjoss

; Martins Filho, Euclides Dias

; Lopasso, Fabio Pinatel

; Coimbra, Felipe José Fernandez

; Felippe, Fernando E. Cruz

; Tomasisch, Flávio Daniel Saavedra

; Takeda, Flavio Roberto

; Ishak, Geraldo

; Laporte, Gustavo Andreazza

; Silva, Herbeth José Toledo

; Cecconello, Ivan

; Rodrigues, Joaquim José Gama

; Grande, José Carlos Del

; Motta, Leonardo Milhomem da

; Ferraz, Leonardo Rocha

; Moreira, Luis Fernando

; Lopes, Luis Roberto

; Toneto, Marcelo Garcia

; Mester, Marcelo

; Rodrigues, Marco Antônio Gonçalves

; Carvalho, Marineide Prudêncio de

; Franciss, Maurice Youssef

; Forones, Nora Manoukian

; Corletta, Oly Campos

; Yagi, Osmar Kenji

; Castro, Osvaldo Antonio Prado

; Malafaia, Osvaldo

; Assumpção, Paulo Pimentel

; Savassi-Rocha, Paulo Roberto

; Colleoni Neto, Ramiro

; Oliveira, Rodrigo Jose de

; Sallun, Rubens Antonio Aissar

; Weschenfelder, Rui

; Oliveira, Saint Clair Vieira de

; Abreu, Thiago Boechat de

; Castria, Tiago Biachi de

; Ribeiro Junior, Ulysses

; Barra, Williams

; Costa Júnior, Wilson Luiz da

; Freitas Júnior, Wilson Rodrigues de

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2020, Volume 33 N. 2 elocation e1514

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Racional: Desde a publicação do primeiro Consenso Brasileiro sobre Câncer Gástrico em 2012 realizado pela Associação Brasileira de Câncer Gástrico (ABCG), novos conceitos sobre o diagnóstico, estadiamento, tratamento e seguimento foram incorporados. Objetivo: Promover uma atualização aos profissionais que atuam no combate ao câncer gástrico (CG) e fornecer diretrizes quanto ao manejo dos pacientes portadores desta afecção. Métodos: Cinquenta e nove especialistas responderam 67 declarações sobre o diagnóstico, estadiamento, tratamento e prognóstico do CG com cinco alternativas possíveis: 1) concordo plenamente; 2) concordo parcialmente; 3) indeciso; 4) discordo e 5) discordo fortemente. Foi considerado consenso a concordância de pelo menos 80% da soma das respostas “concordo plenamente” e “concordo parcialmente”. Este artigo apresenta apenas as respostas dos especialistas participantes. Os comentários sobre cada declaração, assim como uma revisão da literatura serão apresentados em publicações futuras. Resultados: Das 67 declarações, houve consenso em 50 (74%). Em 10 declarações, houve concordância de 100%. Conclusão: O tratamento do câncer gástrico evoluiu consideravelmente nos últimos anos. Este consenso reúne princípios consolidados nas últimas décadas, novos conhecimentos adquiridos recentemente, assim como perspectivas promissoras sobre o manejo desta doença.

ABSTRACT Background: Since the publication of the first Brazilian Consensus on Gastric Cancer (GC) in 2012 carried out by the Brazilian Gastric Cancer Association, new concepts on diagnosis, staging, treatment and follow-up have been incorporated. Aim: This new consensus is to promote an update to professionals working in the fight against GC and to provide guidelines for the management of patients with this condition. Methods: Fifty-nine experts answered 67 statements regarding the diagnosis, staging, treatment and prognosis of GC with five possible alternatives: 1) fully agree; 2) partially agree; 3) undecided; 4) disagree and 5) strongly disagree A consensus was adopted when at least 80% of the sum of the answers “fully agree” and “partially agree” was reached. This article presents only the responses of the participating experts. Comments on each statement, as well as a literature review, will be presented in future publications. Results: Of the 67 statements, there was consensus in 50 (74%). In 10 declarations, there was 100% agreement. Conclusion: The gastric cancer treatment has evolved considerably in recent years. This consensus gathers consolidated principles in the last decades, new knowledge acquired recently, as well as promising perspectives on the management of this disease.

https://doi.org/10.1590/0102-672020190001e1514 3675 downloads

Condições higiênico-sanitárias e perfil da comunidade microbiana de utensílios e mesas higienizadas de um serviço de alimentação localizado no Rio de Janeiro
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Oliveira, Aline Gomes de Mello de

; Melo, Lauro

; Gomes, Daniela Betzler Cardoso

; Peixoto, Raquel Silva

; Leite, Deborah Catharine de Assis

; Leite, Selma Gomes Ferreira

; Colares, Luciléia Granhen Tavares

; Miguel, Marco Antônio Lemos

Brazilian Journal of Food Technology

Journal Metrics
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- SciELO Analytics

2019, Volume 22 elocation e2018097

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo O objetivo deste estudo foi avaliar as condições higiênico-sanitárias e o perfil da comunidade microbiana dos utensílios e das mesas de um serviço de alimentação localizado no município do Rio de Janeiro. A caracterização do processo de higienização dos utensílios (pratos, bandejas e talheres) e das mesas foi realizada por observação sistemática. Verificou-se que os utensílios eram lavados em máquina de lavar e as mesas, manualmente. Após a higienização, os utensílios apresentavam umidade e resíduos de alimentos. Pelo método dependente de cultivo, foram analisadas 126 amostras higienizadas (utensílios: n=90 e mesas: n=36). Pesquisaram-se bactérias mesófilas, coliformes, Escherichia coli, Staphylococcus aureus e fungos. Das amostras analisadas, 100% dos utensílios e 80% das mesas apresentaram contagens microbianas superiores ao recomendado na literatura, estando em condições higiênico-sanitárias inadequadas. E. coli foi isolada nos utensílios e S. aureus, nas mesas. Pelos métodos independentes de cultivo (PCR-DGGE e sequenciamento da subunidade 16S do rRNA), foram analisadas 36 amostras (utensílios: n=27 e mesas: n=9). Klebsiella sp. e Acinetobacter sp. Foram detectadas em todas as amostras, Citrobacter sp. sobre as mesas e Aeromonas hydrophila, nos talheres. Houve falha no processo de higienização, que foi confirmada pelas análises realizadas, que evidenciaram a presença de microrganismos indicadores e patogênicos, que podem causar a perda da qualidade das refeições, assim como danos à saúde dos comensais. Desta forma, é necessário adequar o processo de higienização, a fim de minimizar o risco de contaminação e o surto de doenças transmitidas por alimentos (DTA).

Abstract The objective of the study was to evaluate the hygienic-sanitary conditions and the microbial community profile of tables and tableware of a food service located in the city of Rio de Janeiro. The characterization of the sanitation process of the tableware (plates, trays and cutlery) and the tables was carried out by systematic observation. The tableware were washed in washing machine and the tables, cleaned by hand. After this process, the tableware presented moisture and food residues. For the culture-dependent method, 126 sanitized samples (tableware: n = 90 and tables: n = 36) were analyzed. Mesophilic bacteria, coliforms, fungi, Escherichia coli and Staphylococcus aureus were investigated. 100% of the sampled tableware and 80% of the sampled tables presented microbial counts higher than recommended in literature. The surfaces were in inadequate hygienic-sanitary conditions. E. coli was isolated in the tableware and S. aureus in the tables. By independent culture methods (PCR-DGGE and 16S rRNA sequencing), 36 samples (tableware: n = 27 and tables: n = 9) were analyzed. Klebsiella sp. and Acinetobacter sp. were detected in all samples, Citrobacter sp. was found on the tables and Aeromonas hydrophila in the cutlery. Results showed that the analyzed surfaces had indicative and pathogenic microorganisms, which can cause loss of quality in meals, as well as damages to the consumers’ health. Therefore, it is necessary to adapt the tableware and tables hygiene process in order to minimize the risk of contamination and food disease outbreaks.

https://doi.org/10.1590/1981-6723.09718 3544 downloads

Lianas, tree ferns and understory species: indicators of conservation status in the Brazilian Atlantic Rainforest remnants, southeastern Brazil
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Castello, A. C. D.

; Coelho, S.

; Cardoso-Leite, E.

Brazilian Journal of Biology

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jun 2017, Volume 77 N. 2 Pages 213 - 226

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Os indicadores são aplicados com menores custos e mais rapidez em comparação com levantamentos convencionais, fornecendo respostas rápidas e eficientes que podem facilitar a gestão das áreas protegidas. Nosso objetivo foi selecionar indicadores de vegetação para monitorar áreas protegidas. Para este fim, analisamos o sub-bosque e quantificamos as lianas e fetos arborescentes em áreas protegidas e não-protegidas em busca de espécies indicadoras. Nossas áreas de estudo estão localizadas na região do Vale do Ribeira, sudeste do Estado de São Paulo, Brasil. Uma delas é uma área protegida (categorias da IUCN II e V) e outra uma fazenda de propriedade privada. Lianas com grandes diâmetros (>13 cm) e fetos arborescentes com grandes alturas (>19 m) foram considerados indicadores de áreas não perturbadas (área protegida), pois seu crescimento está diretamente associado com o estágio sucessional das florestas. As espécies indicadoras da área protegida são não pioneiras, como Bathysa australis (A.St.-Hil.) K.Schum., já as da fazenda (não protegida) são pioneiras, como Pera glabrata (Schott) Poepp. ex Baill. e Nectandra oppositifolia Ness. Todos indicadores sugeridos podem ser utilizados em ações de gestão e conservação, especialmente em áreas protegidas, para garantir a manutenção dos remanescentes florestais e para assegurar o cumprimento dos objetivos destas áreas.

Abstract Indicators are applied faster and at lower costs than conventional surveys, providing quick and efficient responses that can facilitate protected areas management. Our aim was to select indicators from vegetation to monitor protected areas. For this purpose, we analyzed understory and quantified lianas and tree ferns in protected and non-protected areas, in order to find indicator species. Our study areas are located in Vale do Ribeira, southeastern São Paulo state, Brazil. One of the areas is under two protection categories (IUCN's categories II and V), and the other is a privately owned farm. Lianas with large diameters (> 13 cm) and tree ferns with great heights (> 19 m) were considered indicators of undisturbed areas (protected areas) because their growth is directly related to forest successional stage. Indicator species within the protected area were shade tolerant species, such as Bathysa australis (A.St.-Hil.) K.Schum., whereas outside the protected area were pioneer species, such as Pera glabrata (Schott) Poepp. ex Baill. e Nectandra oppositifolia Ness. All of the suggested indicators can be used in management actions, especially in protected areas, to guarantee forest maintenance and ensure fulfillment of the conservation objectives of these areas.

https://doi.org/10.1590/1519-6984.07715 1451 downloads

Euterpe edulis effects on cardiac and renal tissues of Wistar rats fed with cafeteria diet
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Barros Freitas, Rodrigo de

; Araujo Melato, Fernanda

; Oliveira, Jerusa Maria de

; Sena Bastos, Daniel Silva

; Cardoso, Raisa Mirella

; Viana Leite, João Paulo

; Moreira Lima, Luciana

Nutrición Hospitalaria

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feb 2017, Volume 34 N. 1 Pages 186 - 192

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Introduction: This study's objective was to evaluate the antioxidant and toxic effects of E. edulis on cardiac and renal tissues of Wistar rats fed with cafeteria diet. Methods: Catalase (CAT), glutathione-S-transferase (GST), superoxide dismutase (SOD) and malondialdehyde (MDA) were measured in cardiac muscle and renal tissue of 60 animals, which were randomly assigned for 10 equal groups. Half of the rats were fed with cafeteria diet and the other half with commercial chow, combined or not to E. edulis lyophilized extract, E. edulis deffated lyophilized extract or E. edulis oil. Data were evaluated using ANOVA, followed by the Student-Newman-Keuls test. Results: Data showed a significant increase of CAT activity in cardiac tissue of animals from the groups fed with cafeteria diet associated to E. edulis lyophilized extract at 5%, E. edulis lyophilized extract at 10% and E. edulis deffated lyophilized extract at 10%. In addition, the same result was found in animals from the groups fed with commercial chow and commercial chow combined with E. edulis lyophilized extract at 10% in comparison to the group fed exclusively with cafeteria diet. GST and SOD enzyme activity showed significant increase in the heart tissue of animals nourished with commercial chow when compared to the groups fed with cafeteria diet. On the other hand, there were no significant differences enzymatic levels in renal tissues. Conclusion: The oil and the extract of E. edulis had an important role promoting an increase of antioxidant enzymes levels in cardiac muscle, which prevent the oxidative damage resulting from the cafeteria diet in Wistar rats. There were no evidenced signs of lipid peroxidation in renal or in cardiac tissue of the animals studied, indicating that the E. edulis use did not promote any increase in malondialdehyde cytotoxic products formation. This show that both E. edulis oil and extracts evaluated in this study were well tolerated in the studied doses.

Introducción: el objetivo de este estudio fue evaluar los efectos antioxidantes y tóxicos de E. edulis en los tejidos cardiacos y renales de ratas Wistar alimentadas con dieta de cafetería. Métodos: catalasa (CAT), glutatión-S-transferasa (GST), superóxido dismutasa (SOD) y malondialdehído (MDA) se midieron en el músculo cardiaco y el tejido renal de 60 animales, que fueron asignados aleatoriamente para 10 grupos iguales. La mitad de las ratas fueron alimentadas con dieta de cafetería y la otra mitad con ración comercial, combinados o no con E. edulis extracto liofilizado, E. edulis GMD obtenidas de extracto liofilizado o aceite de E. edulis. Los datos se evaluaron mediante ANOVA, seguido por el test de Student-Newman-Keuls. Resultados: los datos mostraron un aumento significativo de la actividad de CAT en el tejido cardiaco de los animales de los grupos alimentados con dieta de cafetería asociada a E. edulis extracto liofilizado en un 5%, E. edulis extracto liofilizado en un 10% y E. edulis GMD obtenidas de extracto liofilizado de 10%. Además, el mismo resultado se encuentra en los animales de los grupos alimentados con chow chow comercial y comercial combinado con extracto liofilizado E. edulis en 10% en comparación con el grupo alimentado exclusivamente con dieta de cafetería. La actividad de GST y la enzima SOD mostró un aumento significativo en el tejido del corazón de los animales alimentados con pienso comercial en comparación con los grupos alimentados con dieta de cafetería. Por otro lado, se observaron diferencias significativas en los niveles enzimáticos en los tejidos renales. Conclusión: el aceite y el extracto de E. edulis tuvieron un papel importante al promover un aumento de los niveles de enzimas antioxidantes en el músculo cardiaco, que previenen el daño oxidativo resultante de la dieta de cafetería en ratas Wistar. Los signos de la peroxidación lipídica evidenciados en los riñones o en el tejido cardiaco de los animales estudiados indican que el uso de E. edulis no promovió ningún aumento en la formación de productos citotóxicos malondialdehído, un marcador reconocido de la acción de los radicales libres.

https://doi.org/10.20960/nh.996 432 downloads

β-lactamase-producing Gram-negative bacteria in an intensive care unit in southern Brazil
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Leite, Clariana Akemi Kariya

; Oizumi, Karina Yoshimi

; Caleffi-Ferracioli, Katiany Rizzieri

; Scodro, Regiane Bertin de Lima

; Pádua, Rubia Andreia Falleiros de

; Cardoso, Rosilene Fressatti

; Pires, Claudia Terencio Agostinho

; Siqueira, Vera Lucia Dias

Brazilian Journal of Pharmaceutical Sciences

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2017, Volume 53 N. 2 elocation e16111

Abstract: En | Text: En | PDF: En

ABSTRACT The present study evaluated the antimicrobial susceptibility profile, β-lactamase production, and genetic diversity of Enterobacteriaceae, Pseudomonas aeruginosa, and Acinetobacter spp. using phenotypic identification, antimicrobial susceptibility testing, and β-lactamase phenotypic detection. Isolates were obtained from patients in an intensive care unit in a hospital in southern Brazil. Bacterial genomic DNA was extracted, followed by the genotypic detection of carbapenemases and enterobacterial repetitive intergenic consensus-polymerase chain reaction (ERIC-PCR). Fifty-six isolates (26 Klebsiella pneumoniae, five Escherichia coli, three Enterobacter aerogenes, nine P. aeruginosa, and 13 Acinetobacter spp.) were evaluated. The phenotypic extended spectrum β-lactamase (ESBL) test was positive in 53.8% of the K. pneumoniae isolates, 100.0% of the E. coli isolates, and 100.0% of the E. aerogenes isolates. Phenotypic and genotypic testing of K. pneumoniae carbapenemase (KPC) was positive in 50.0% of the K. pneumoniae isolates. Phenotypic and genotypic testing showed that none of the P. aeruginosa or Acinetobacter spp. isolates were positive for metallo- β-lactamase (MBL). The bla OXA gene was detected only in Acinetobacter spp. The lowest genetic diversity, determined by ERIC-PCR, was observed among the KPC-producing K. pneumoniae isolates and OXA-producing Acinetobacter spp. isolates, indicating the inadequate dissemination control of multidrug-resistant bacteria in this hospital environment.

https://doi.org/10.1590/s2175-97902017000216111 28992 downloads

10.

Chemical composition, characterization of anthocyanins and antioxidant potential of Euterpe edulis fruits: applicability on genetic dyslipidemia and hepatic steatosis in mice
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Marques Cardoso, Luciana

; Dias Novaes, Rômulo

; Castro, Cynthia Aparecida de

; Azevedo Novello, Alexandre

; Vilela Gonçalves, Reggiani

; Ricci-Silva, Maria Esther

; Ramos, Humberto Josué de Oliveira

; Gouveia Peluzio, Maria do Carmo

; Viana Leite, João Paulo

Nutrición Hospitalaria

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aug 2015, Volume 32 N. 2 Pages 702 - 709

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

The significance of polyphenol intake for the prevention of chronic diseases is controversial. Objective: this study investigated the chemical composition and antioxidant potential of an anthocyanin-rich extract from Euterpe edulis fruits (LPEF) and its effects on liver steatosis in dyslipidemic apoE-/- knockout mice. Materials and methods: mice were divided into G1 (C57BL/6) standard diet; G2 (apoE-/-) standard diet, G3 (apoE-/-) 2% LPEF, G4 (apoE-/-) 6% LPEF, G5 (apoE-/-) 10% LPEF, G6 (apoE-/-) 2% α-tocopherol acetate. After 75 days of treatment, the animals were euthanized. The LPEF contained a high level of monomeric anthocyanins (301.4 mg/100g) and marked antioxidant activity. Results: Catalase activity was reduced in G3, G4, G5 and G6 compared to G2. Superoxide dismutase was reduced only in G4. The animals in G4, G5, and G6 showed low HDL and triglycerides levels compared to G2. The proportion of lipid droplets in liver tissue was reduced in G4 and G5 compared to G2, G3, and G6. Conclusion: The results indicated that E. edulis pulp is rich in anthocyanins and the LPEF dietary consumption can reduce the severity of liver steatosis in apoE-/- mice, an effect that is potentially mediated by the antioxidant activity of this extract and modulation of triglyceride serum levels.

El papel de los polifenoles en la prevencion de enfermedades cronicas es controvertido. Objetivo: este estudio investigo la composicion quimica y el potencial antioxidante de un extracto del fruto de Euterpe edulis rico en antocianinas (LPEF) y sus efectos en la esteatosis hepatica en ratones apoE-/- knockout con dislipidemia. Material y metodos: los ratones fueron divididos en los siguientes grupos; G1 (C57BL/6) con una dieta estandar; G2 (apoE-/-) con dieta estandar; G3 G3 (apoE-/-) con 2% de LPEF; G4 (apoE-/-) con 6% de LPEF; G5 (apoE-/-) con 10% de LPEF y G6 (apoE-/-) con 2% acetato α-tocoferol (α-tocopherol acetate). Despues de 75 dias de tratamiento, los animales fueron eutanizados. El LPEF contenia un alto nivel de antocianinas monomericas (301,4 mg/100 g) con notable actividad antioxidante. Resultados: la actividad catalasa fue reducida en los grupos G3, G4, G5 y G6 comparada con G2. La superoxidasa dismutasa solo se redujo en el grupo G4. Los animales de G4, G5 y G6 mostraron bajos niveles de HDL trigliceridos, comparados con G2. La proporcion de lipidos en el tejido hepatico fue reducida en G4 y G5, comparado con G2, G3 y G6. Conclusion: los resultados indicaron que la pulpa de E. edulis es rica en antocianinas, y que el consumo de LPEF en la dieta puede reducir la severidad de la esteatosis hepatica en ratones apoE-/-, un efecto que es potencialmente mediado por la actividad antioxidante de este extracto y la modulacion en los niveles sericos de trigliceridos.

https://doi.org/10.3305/nh.2015.32.2.8885 461 downloads

11.

Phenolic compounds and antioxidant, antimicrobial and antimycobacterial activities of Serjania erecta Radlk. (Sapindaceae)
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Cardoso, Claudia Andréa Lima

; Coelho, Roberta Gomes

; Honda, Neli Kika

; Pott, Arnildo

; Pavan, Fernando Rogério

; Leite, Clarice Queico Fujimura

Brazilian Journal of Pharmaceutical Sciences

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dec 2013, Volume 49 N. 4 Pages 775 - 782

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Serjania erecta Radlk. (Sapindaceae) é uma planta medicinal utilizada no Brasil. Analisamos o extrato etanólico de folhas e raízes para sete microorganismos. O REMA (Ensaio de Microtitulação Resazurina) foi utilizado para medir a atividade biológica in vitro contra o Mycobacterium tuberculosis e nossos resultados mostraram atividade moderada do extrato etanólico. Por outro lado, ensaios com S. aureus, P. aeruginosa, S. setubal, C. albicans, S. cerevisiae e E. coli revelaram que as folhas e raízes de S. erecta inibiram crescimento em todos os microorganismos. Os extratos etanólicos de folhas e raízes apresentaram valores baixos de atividade antioxidante. Os extratos etanólicos de folhas e raízes foram analisados por métodos cromatográficos e espectroscópicos. (-)-Epicatequina, canferol aglicona e cinco derivados glicosídicos foram isolados: canferol -3-O-α-L-ramnopiranosídeo, canferol-3-O-α-L-ramnopiranosil-(1→6)-β-D-glucopiranosídeo a partir das raízes e canferol, canferol 3,7-di-O-α-L-ramnopiranosídeo, vitexina, isovitexina e (-) epicatequina nas folhas. Este é o primeiro estudo químico na literatura sobre esta espécie.

Serjania erecta Radlk.(Sapindaceae) is a medicinal plant traditionally used in Brazil. We assayed the ethanolic extract of leaves and roots against seven microorganisms. The REMA (Resazurin Microtiter Assay) assay was used to measure the biological activity in vitro against Mycobacterium tuberculosis and our results showed moderate activity of the ethanolic extract. On the other hand S. aureus, P. aeruginosa, S. setubal, C. albicans, S. cerevisiae and E. coli revealed that the leaves and roots of S. erecta inhibited the growth of all microorganisms. The ethanolic extracts of leaves and roots showed low values of antioxidant activities. The ethanolic extracts of leaves and roots were analyzed by chromatographic and spectrometric methods. (-)-Epicatechin, kaempferol aglycone and five glycoside derivates were isolated: kaempferol-3-O-α-L-rhamnopyranoside, kaempferol-3-O-α-L-rhamnopyranosyl-(1→6)-β-D-glucopyranoside from the roots and kaempferol, kaempferol 3,7-di-O-α-L-rhamnopyranoside, vitexin, isovitexin and (-)-epicatechin in the leaves. This is the first chemical study reported in the literature about this specie.

2916 downloads

12.

Perfil de uso dos stents farmacológicos no Brasil: dados da Central Nacional de Intervenções Cardiovasculares (CENIC)
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Cardoso, Cristiano O.

; Quadros, Alexandre S. de

; Mattos, Luiz A.

; Gottschall, Carlos A.

; Sarmento-Leite, Rogério E.

; Marin-Neto, José A.

Arquivos Brasileiros de Cardiologia

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dec 2007, Volume 89 N. 6 Pages 356 - 361

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

FUNDAMENTO: Os stents farmacológicos (SF) foram um grande avanço no tratamento da cardiopatia isquêmica, mas críticas têm sido feitas à extrapolação dos resultados favoráveis de ensaios clínicos para a prática clínica diária. OBJETIVO: Avaliar o uso dos stents farmacológicos (SF) no Brasil, entre os anos de 2000 e 2005. MÉTODOS: Por meio do banco de dados da Central Nacional de Intervenções Cardiovasculares (CENIC), da Sociedade Brasileira de Hemodinâmica e Cardiologia Intervencionista, foram analisados todos os procedimentos com uso de SF entre os anos de 2000-2005. Os grupos foram divididos nos biênios (2000-2001(A), 2002-2003 (B) e 2004-2005(C)), e as características clínicas, angiográficas e os desfechos foram comparados. Análise estatística foi realizada com teste quiquadrado ou ANOVA, sendo significativo p<0,05. RESULTADOS: No período estudado foram avaliados 154.406 procedimentos, e os SF foram utilizados em 10.426 intervenções (7% do total). Observou-se progressivo e estatisticamente significativo aumento uso dos SF no período analisado: 0,14% em 2000-2001, 5% em 2002-2003, e 14% em 2004-2005 (p<0,0001). Após 2001, observou-se aumento dos índices de sucesso (96,58% em 2000-2001 (A), 99,69% em 2002-2003 (B) e 99,56 em 2004-2005 (C), A x B com p<0,001; B x C com p=0,015) e redução nas taxas de óbito hospitalar (1,59% no grupo A, 0,38% no grupo B, 0,66% no grupo C, p=0,59 para A x B; e p<0,0001 para B x C). CONCLUSÃO: O uso dos SF no Brasil cresceu significativamente nos últimos anos, com melhora dos índices de sucesso e diminuição do óbito hospitalar.

BACKGROUND: Drug-eluting stents (DES) represent a major advance in the management of ischemic heart disease, but the extrapolation of favorable results from clinical trials to the real-world practice has been criticized. OBJECTIVE: To assess the use of DES in Brazil between 2000 and 2005. METHODS: Using the database of the National Registry of Cardiovascular Interventions (CENIC - Central Nacional de Intervenções Cardiovasculares) of the Brazilian Society of Hemodynamics and Interventional Cardiology (SBHCI - Sociedade Brasileira de Hemodinâmica e Cardiologia Intervencionista), all PCI procedures with DES implantation performed between 2000 and 2005 were analyzed. The groups were divided into the following biennia: 2000-2001(A), 2002-2003 (B), and 2004-2005 (C), and patient's clinical and angiographic characteristics were compared, as well as their short-term clinical outcome. Statistical analyses were performed using the chi-square test or ANOVA, and p values of less than 0.05 were considered to be statistically significant. RESULTS: A total of 154,406 PCI procedures were studied, and DES was used in 10,426 (7%) interventions. A progressive and statistically significant increase was found in the use of DES during the period studied: 0.14% from 2000 to 2001, 5% from 2002 to 2003, and 14% from 2004 to 2005 (p < 0.0001). After 2001, there was an increase in success rates (96.58% in 2000-2001 (A), 99.69% in 2002-2003 (B), and 99.56% in 2004-2005 (C), A x B with p < 0.001; B x C with p = 0.015) and a decrease in hospital mortality rates (1.59% in group A, 0.38% in group B, and 0.66% in group C, with p = 0.59 for A x B and p < 0.0001 for B x C). CONCLUSION: In Brazil, the use of drug-eluting stents increased significantly during recent years, resulting in higher success rates and lower hospital mortality.

4146 downloads

13.

Determinação do tempo ótimo do enraizamento de miniestacas de clones de Eucalyptus spp.
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Ferreira, Eraclides Maria

; Alfenas, Acelino Couto

; Mafia, Reginaldo Gonçalves

; Leite, Helio Garcia

; Sartorio, Robert Cardoso

; Penchel Filho, Ricardo Miguel

Revista Árvore

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apr 2004, Volume 28 N. 2 Pages 183 - 187

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Foi feita uma análise temporal da curva de enraizamento de dois clones híbridos de eucalipto (C1 - E. grandis x E. urophylla; C2 - E. grandis x E. saligna), visando determinar o tempo ótimo de permanência dos propágulos vegetativos na casa de enraizamento, sob o ponto de vista técnico e do risco de incidência de doenças. Constatou-se que o tempo ótimo necessário para induzir a rizogênese depende do clone de eucalipto e que o conhecimento do modelo temporal pode fornecer subsídios ao gerenciamento de viveiros florestais. Além disso, foram estabelecidos dois critérios úteis para determinar o tempo ótimo de indução do enraizamento, sendo estes o intercepto da curva de incremento corrente diário (ICD) e incremento médio diário (IMD) e o tempo em que ocorre o máximo valor da velocidade de enraizamento. Para os clones 1 e 2, pelo critério do intercepto das curvas de ICD e IMD, 20 e 30 dias foram definidos como tempo ótimo, enquanto pelo critério de máxima velocidade de enraizamento os valores foram de 15 e 22 dias, respectivamente, sendo este último critério o mais indicado, levando-se em consideração o custo das instalações e o risco de incidência de doenças na propagação clonal do eucalipto.

A temporal analysis of the rooting curve of two hybrid clones of eucalypt (C1 - E. grandis x E. urophylla; C2 - E. grandis x E. saligna) was carried out to determine the optimum time for permanence of the vegetative propagules in the rooting house, considered under the technical viewpoint and risk of disease incidence. It was found out that the optimum time needed to induce rhyzogenesis depended on the Eucalyptus clone and that a knowledge of temporal model may provide a basis for the management of forest nurseries. Besides, two useful criteria were established to determine the optimum time to induce rooting, i.e., the intercept of the daily current increase curve (DCI) and daily average increase (DAI) and the time during which the maximum rooting velocity value occurs. For clones 1 and 2, respectively, 20 and 30 days were defined as optimum times, based on the criterium of the intercept of the DCI and DAI curves, while15 and 22 days were defined as optimum times, based on the maximum rooting velocity criterium, with the latter criterium being the most indicated, taking into account installation cost and risk of incidence of diseases in eucalyptus clonal propagation.

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